DRESSER

COURSE INFORMATION

COURSE STRUCTURE

Table below depicts the distribution of training hours across various course elements during a period of six months: -

Frontline Health Worker

General Information

Program Name Frontline Health Worker
Qualification Pack Name & Reference ID. ID HSS/ Q 8601, version 1.0
Pre-requisites to Training Class VIII
Training Outcomes • After completing this programme, participants will be able to: • Have knowledge about their job profile and how they are different from other community health workers. • Assist the village health, sanitation and nutrition committee in various issues pertaining to village health and environment. • Provide effective healthcare advice on issues like STDs, STI/ RTI, HIV/AIDS and other infectious diseases. • Provide antenatal/ intra-natal/ post- natal care in addition to new born care and child health. • Address issues related to adolescent health, nutrition and personal hygiene. • Assist other health care workers working in the community. • Provide information about the indigenous forms of medicine.
Sr. No. Module Key Learning Outcomes
1. Introduction to community health and public health Theory duration (hh:mm) 02:00 hrs Practical Duration (hh:mm) 01:00 Corresponding NOS Code Introduction • Definition, concepts, background and scope of Community health. • Definition, concepts, background and scope of public Health. • Explain the public health communication and its importance. • Describe the audience centered philosophy.
2. National Rural Health Mission Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 01:00 Corresponding NOS Code introduction • Explain the concept of NRHM • Identify the objectives of NRHM • Basic understanding of Healthcare Service Providers/Facilities (primary, secondary & tertiary) • Discuss the concept of ASHA
3. Roles and responsibilities of frontline health worker Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 01:00 Corresponding NOS Codes HSS/N 8611, HSS/N 8614, HSS/N 8615, HSS/N 8616, HSS/N 8617, HSS/N 8618 • Elicit the role of FHW as a health- activist • Exhibit the values being FHW • Perform the key activities of FHW like home visits, attending VHND, visits to healthcare facility, holding VHSNC meetings, maintain records, etc. • Understand the local community & develop relations for their upliftment • Understanding the human rights and the fundamental rights. • Preserve women’s right to health • Explain the range of duties performed by a FHW in following areas: ü Maternal care ü Newborn care ü Child care ü Nutrition ü Controlling of infections ü Social mobilization • Exhibit and understand your role as FHW in following tasks: ü To develop the village health plan ü To communicate health behavior changes with the help of various communication methods like BCC/IEC ü Explain the role of the other community health workers to include; Anganwadi worker, Village dai, ANM, Traditional birth attendant, Male swasthya karmi, & other healers. ü To counsel the community regarding various health related programmes and issues. ü To illustrate the proper referral and escorting patient to the medical facility. ü To provide primary medical care to the local community ü To act as depot holders for Outline the activities of FHW especially in: ü To maintain records & registration. • Explain the general standards relating to FHW • Explain the professional standards relating to FHW • Explain the additional skills that a FHW could do with experience
4. VHSNC Theory duration (hh:mm) 08:00 Practical Duration (hh:mm) 02:00 Corresponding NOS Code HSS/N 8601 • Discuss the roles and responsibilities of Village Health, Sanitation and Nutrition Committee (VHSNC) • Support VHSNC in in organizing their meetings & achieving their objectives. • Illustrate the concept of Village Health and Nutrition Day
5. Total sanitation program Theory duration (hh:mm) 08:00 Practical Duration (hh:mm) 02:00 Corresponding NOS Code HSS/N 8613 • • Outline the concept of Total Sanitation Program • Describe the strategy of Total Sanitation Program • Discuss the aims of TSP. • Interpret the implementation process of the TSP including formation of toilets at home.
6. Family Planning, RTI/STI and HIV/AIDS and ARSH Theory duration (hh:mm) 12:00 Practical Duration (hh:mm) 13:00 Corresponding NOS Code HSS/N 8602 •Discuss the concept of family planning. • Explain elaborately the various methods of family planning including temporary and permanent methods. • Describe the merits of adopting family planning. • Elicit the various Reproductive Tract Infections and Sexually Transmitted Infections frequently seen in men and Women. • Conceptualize various preventive methods of various RTIs/STIs. • Perform the roles and responsibilities of FHW in taking care of the STIs/RTIs. • Describe HIV/ AIDS in detail. • Illustrate the basic difference between HIV and AIDS. • Understand the various modes of transmission of the HIV infection. • Discuss the various ways by which HIV infection is not transmitted. • Perform the roles and responsibilities of an FHW related to prevention of HIV/ AIDS.
7. Care during Adolescence Theory duration (hh:mm) 08:00 Practical Duration (hh:mm) 07:00 Corresponding NOS Code HSS/N 8603 •Discuss the period of adolescence and changes occurring in males and females. • Explain the phenomenon of menstruation and how to maintain personal hygiene during it. • Explain the major issues faced by males in adolescence and how to curb them. • Counsel community about Pre- Menstrual Syndrome (PMS) • Detail School Health Program. • Discuss the various components of school health program. • Perform the roles and responsibilities of FHW in implementation of school health program.
8. Pregnancy care, intra- natal care and newborn care Theory duration (hh:mm) 10:00 Practical Duration (hh:mm) 12:00 Corresponding NOS Codes HSS/N 8605, HSS/N 8606, HSS/N 8607 • Develop knowledge about prenatal advice on diet, personal hygiene, drugs, safeguarding from radiation (x- ray), warning signs, mental preparation, and family planning. • Identify needs and care in the pregnancy period. • Illustrate various methods of home care during pregnancy. • Comprehend & Motivate community for the Antenatal visits- 1st visit at 20 weeks or as soon as the pregnancy is known, 2nd visit at 32 weeks, 3rd visit at 36 weeks- physical examination, laboratory examinations, ultrasound, iron and folic acid supplementation, immunization against tetanus, etc. • Assess various health issues during pregnancy like anemia, malaria, gestational diabetes, etc. • Identify the problems and danger signs during the pre-natal, ante-natal, intra-natal and post-natal period and escort for appropriate & timely referral. • Recognize the roles & responsibilities of an FHW in taking care of a woman in pre-natal, ante-natal, intra-natal and post-natal period. • Motivate the community for the institutional births • Employ the principles of newborn care. • Explain the neonatal examination and identify the criteria for high- risk babies. • Describe the various methods of newborn care like skin to skin contact, maintaining cleanliness and hygiene, while referring the newborn to a health facility and process of effectively weighing the baby.
9. Infertility Management Theory duration (hh:mm) 05:00 Practical Duration (hh:mm) 04:00 Corresponding NOS Code HSS/N 8608 • Describe the concept of fertility and infertility. • Comprehend the various causes of infertility. • Describe the ways to manage the issues of infertility in both the males and females • Outline various infertility treatments and procedures available like: ü Timed intercourse ü Intra- uterine insemination ü In- vitro fertilization • Recognize the roles and responsibilities of FHW while identifying and handling cases of infertility in both the males and females. • Motivate the community for infertility screening, infertility treatment and adoption in case of untreatable cases.
10. Unsafe Abortions and Medical Termination of Pregnancy Theory duration (hh:mm) 05:00 Practical Duration (hh:mm) 07:00 Corresponding NOS Code HSS/N 8608 •Comprehend the concept of unsafe abortions • Discuss the ill- effects of unsafe abortions • Explain care during post- abortion period. • Discuss the concept of Medical Termination of Pregnancy. • Recognize the functions of an FHW while handling patients who underwent MTP. • Discourage sex determination and female feticide.
11. Immunization, Diarrhea and Acute Respiratory Infection Theory duration (hh:mm) 05:00 Practical Duration (hh:mm) 06:00 Corresponding NOS Code HSS/N 8607 • Explain the importance of immunization. • Decipher a standard national immunization schedule for children and pregnant women. • Operationalize & promote universal immunization program as an FHW. • Determine the methods of prevention and early diagnosis, treatment and detection of complications for diseases like diarrhea, acute respiratory infections and fever etc. • Underline the nutritional practices in infants and young child. • Describe the standard practices of breastfeeding and weaning. • Prevent, identify and encourage early treatment of malnutrition. • Recognize the role and responsibilities of FHW in taking care of nutrition in children.
12. Maternal Health, Newborn Health and Young Children Health Theory duration (hh:mm) 08:00 Practical Duration (hh:mm) 12:00 Corresponding NOS Codes HSS/N 8604, HSS/N 8607 • Develop the knowledge of diagnosing pregnancy using Nischay kit. • Determine the Last Menstrual Period (LMP) and Expected Date of Delivery (EDD) • Understand group or individual instruction on nutrition, family planning, self-care, delivery and parenthood. • Provide appropriate care for anaemia. • Describe care of vulnerable mothers like cases of pre- eclampsia, obesity, or any other disease. • Develop plans for birth preparedness • Explain key points which need to be taken care of during delivery. • Discuss care of the mother in the post- natal period pertaining to psychological make-up. • Explain about the prevention of complications in the post-natal period • Discuss basic health education to the mother and the family like personal hygiene and envir0nmental hygiene, pregnancy spacing, birth registration. • Explain the practice of effective breastfeeding & ensure adequacy of breastfeeding • Follow-up with pregnant women. • Understand obstetric emergencies and enable appropriate referral for emergencies. • Update Maternal Health Cards with support from the ANM. • Explain the management of various neonatal health hazards like asphyxia, neonatal sepsis, iodine deficiency. • Promote health behaviour in the children under- 5. • Ensure prompt vaccination till 10 years age. • Describe effective toilet training. • Ensure education at school • Encourage parents to send their children to schools.
13. National Health Programs Theory duration (hh:mm) 07:00 Practical Duration (hh:mm) 05:00 Corresponding NOS Codes HSS/N 8609, HSS/N 8620 • Explain various National Health Programs against the pervasive deadly diseases like RNTCP, National Anti-Malaria Program, National AIDS Control Program, National Program for Control of Blindness, National Mental Health Program, National program for Prevention and Control of Diabetes, Cardiovascular Diseases and Stroke, various National Vector Borne Disease Control Programs, etc. • Educate the community on how to prevent these diseases • Motivate community for early diagnosis, early treatment and identification of complications for various diseases covered under National Health Programmes. • Follow up during & after treatment like DOTS, etc. • Recognize the roles and responsibilities of FHW in implementation of national health programs. • Monitor & Report the incidence and prevalence of disease outbreaks
14. Management of Minor Ailments and Minor Injuries Theory duration (hh:mm) 03:00 Practical Duration (hh:mm) 07:00 Corresponding NOS Code HSS/N 8610 • Explain the principle of primary care and its components. • Discuss various minor illnesses and their management. • Describe various viral illnesses and their management. • Describe various ways by which injuries can occur • Explain how injuries can be prevented • Outline the first aid management of the minor injuries. • Explain basic care and treatment for wounds, bites, burns • Describe the importance and maintenance of Home Medicine Box.
15. Primary Care with AYUSH Theory duration (hh:mm) 03:00 Practical Duration (hh:mm) 02:00 Corresponding NOS Code HSS/N 8612 • Describe the concept of AYUSH • Understand the objective of AYUSH medicine. • Discuss the various curative aspect and remedies in AYUSH. • Explain the importance of Yoga in augmenting health.
16. Introduction to Records and Registration Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 02:00 Corresponding NOS Code HSS/N8619 • Explain various types of records used in the community. • Assess the importance of maintaining records. • Explain various types of registers used in the community like Birth registers, Death registers, Marriage registers, Epidemic registers, etc. • Assess the importance of maintaining registers • Register all the new cases whether of any disease outbreak, ante- natal check-ups, immunization of the pregnant women, immunization and vaccination of children, new-borns. • Practice records maintenance
17. Collate and Communicate Health Information Theory duration (hh:mm) 01:00 Practical Duration (hh:mm) 01:00 Corresponding NOS Code HSS/N 9601 • Comprehend the importance of co- coordinating among fellow health care professionals in decreasing the time, energy and material of execution of services. • Interpolate about networking with the various health workers present in the village. • Explain the process of effective reporting to the concerned person in order to avoid duplication of data, omission of data. • Determine the concept of health communication. • Discuss various issues in health communication. • Discuss the opportunities in the domain of health communication
18. Medicines and supplies Theory duration (hh:mm) 03:00 Practical Duration (hh:mm) 02:00 Corresponding NOS Code HSS/N 9602 • Identify the medicines and supplies available with FHW • Dispense the medication in the community according to schedule and requirement.
19. Act within the limits of competence and authority Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 01:00 Corresponding NOS Code HSS/N 9603 • Understand the meaning of relations and types of relationship • To understand effective working relationships with the people external to the team, with which the individual works on a regular basis • To understand the effect of boundary violation in technician client relationships • Follow workplace protocol.
20. Personnel hygiene Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 03:00 Corresponding NOS Code HSS/N 9606 • To develop understanding of the concept of healthy living • To develop understanding & procedures of hand hygiene • To develop a mind-set about environmental hygiene and safe sanitary practices, constructing home toilets, proper disposal of domestic wastes. • To develop techniques of grooming • To ensure vaccination against common Infectious Diseases
21. Emergency Medical Response Theory duration (hh:mm) 03:00 Practical Duration (hh:mm) 05:00 Corresponding NOS Code HSS/N 9606 • Describe the concept of basic life support and emergency medical response. • Discuss the steps of carrying out CPR on an adult. • Explain CPR using defibrillator • Explain the management of convulsion • Explain needle stick injuries and their prevention
22. Biomedical Waste Management Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 03:00 Corresponding NOS Code HSS/N 9609 • To gain understanding of importance of proper and safe disposal of bio- medical waste & treatment • To gain understanding of categories of bio-medical waste • To learn about disposal of bio-medical waste – color coding, types of containers, transportation of waste, etc. • To gain broad understanding of standards for bio-medical waste disposal • To gain broad understanding of means of bio-medical waste treatment • To understand the role of an infection control team
23. Infection Control and Prevention Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 01:00 Corresponding NOS Code HSS/N9610 • Describe the concept of infection control. • Determine the need for infection control • Recognize the Roles and responsibilities of FHW in infection control in house and community. • Describe causes behind occurrence of bedsores.
24. Soft Skills and Communication Theory duration (hh:mm) 03:00 Practical Duration (hh:mm) 07:00 Corresponding NOS Codes HSS/N 9601, HSS/N 9603 • Understand art of effective communication • Able to handle effective communication with Patients & Family • Able to handle effective Communication with Peers/colleagues using medical terminology in communication • Learn basic reading and writing skills • Learn sentence formation • Learn problem solving • Understand need for customer service and service excellence in Medical service • Understand work ethics in • Learn objection handling • Learn Telephone and Email etiquettes • Learn Basic computer working like feeding the data, saving the data and retrieving the data. • Learn to analyze, evaluate and apply the information gathered from observation, experience, reasoning, or communication to act efficiently • Learn planning and organization of work • Learn identification of rapidly changing situations and adapt accordingly • Learn decision making ability
25. Basic Computer Knowledge Theory duration (hh:mm) 02:00 Practical Duration (hh:mm) 08:00 Corresponding NOS Code Introduction • To gain broad understanding about application of computers in laboratory Practice • Give Introduction to Computers: −Block diagram −Input and Output devices −Storage devices • Give Introduction to operating systems −Need of Operating systems (OS) −Function of OS −Windows 2000 – Utilities and basic operations −Microsoft office 2000 – MS Word, MS Excel